<br>
<div class="k-block"><div class="k-header k-shadow">Asigurari - Bunuri</div>	

				<ul class="forms" style="font-size: 14px;">	
				<li>
					<label  for="pObj" class="required">Obiectul asigurarii: </label><form:input type="text" id="pObj" path="contractAsig.assObject" maxlength="600" style="width:450px;" class="k-textbox"/> 
<!-- 				</li> -->
<!-- 				<li> -->
<!-- 				 	<label  for="pObjAss" class="required">Obiectul asigurării: </label> 	 -->
							<form:select id="pObjAss" path="contractAsig.refObjectAss.id" style="width:250px;"> 
	 		     					<form:options items="${refObjectAssCBX}" itemValue="id" itemLabel="mdValue"/> 
	  		   				</form:select>	
 		   	 	</li>
 		   	 	<li>
					<label  for="pbunNr" class="required">Nr cadastral: </label><form:input type="text" id="pbunNr" path="contractAsig.bunNrCadastral" maxlength="20" style="width:150px;" class="k-textbox"/> 
				</li>
				<li>
					<label  for="pbunAdr" class="required">Adresa bunurilor asigurate: </label><form:input type="text" id="pbunAdr" path="contractAsig.bunAddress" maxlength="150" style="width:450px;" class="k-textbox"/> 
				</li>
				
<!-- 				<li> -->
<!-- 					<label  for="pbunLoc" class="required">Localitatea: </label><form:input type="text" id="pbunLoc" path="contractAsig.bunLoc" maxlength="20" style="width:150px;" class="k-textbox"/>  -->
<!-- 				</li> -->


				<li>	
					<label  for="pBank" class="required">Beneficiar - Banca:  </label>		
					<form:select id="pBank" path="refBank.id" style="width:500px;" > 
	 		     				<option value="-1" label=" - Selectati - " ></option>  
 		     				<form:options items="${refBankCBX}" itemValue="id" itemLabel="mdValue"/>  
  		   			</form:select>	
				</li>
				
				<li>
					<label  for="pbBranch" class="required">Filiala bancii: </label><form:input type="text" id="pbBranch" path="contractAsig.bankBranch" maxlength="20" style="width:450px;" class="k-textbox"/> 
				</li>
				
				<li>
					<label  for="pbAdr" class="required">Adresa filialei: </label><form:input type="text" id="pbAdr" path="contractAsig.bankAddress" maxlength="20" style="width:450px;" class="k-textbox"/> 
				</li>
				
				<li>	
					<label  for="pAssC" class="required">Compania de asigurare:  </label>		
					<form:select id="pAssC" path="contractAsig.refAssCompany.id" style="width:500px;" > 
 		     				<form:options items="${refAssCompanyCBX}" itemValue="id" itemLabel="mdValue"/>  
  		   			</form:select>	
				</li> 	
				
				<li>
  		   				<label  for="pDateFrom" class="required">Perioada asigurarii, de la: </label> <form:input type="text" id="pDateFrom" 	path="contractAsig.dateFrom"  	 style="width:150px;"  class="k-textbox"  required="true" data-role="datepicker" role="textbox"/>				  
<!--  				</li> 	 -->
<!--  				<li> -->
  		   				<label  for="pDateTo" class="required">Perioada asigurarii, pana la: </label> <form:input type="text" id="pDateTo" 	path="contractAsig.dateTo"  	 style="width:150px;"  class="k-textbox"  required="true" data-role="datepicker" role="textbox"/>				  
 				</li> 
				
 		   	 	Acoperirea de asigurare optata
 		   	 	<li>
	 					<label  for="pbunIncendiu">Incendiu: </label> 
	 					<input type="checkbox" id="checkIncend" 	value="1"  onclick="changeCheckIncend();" /> 
	 					<form:hidden id="pbunIncendiu"	path="contractAsig.bunIncendiuFlg" />   
	 			</li>
	 			<li>
	 					<label  for="pbunInundatie">Inundatii: </label> 
	 					<input type="checkbox" id="checkInund" 	value="1"  onclick="changeCheckInund();" /> 
	 					<form:hidden id="pbunInundatie"	path="contractAsig.bunInundatieFlg" />   
	 			</li>	
	 			<li>
	 					<label  for="pbunDeter">Deteriorare: </label> 
	 					<input type="checkbox" id="checkDeter" 	value="1"  onclick="changeCheckDeter();" /> 
	 					<form:hidden id="pbunDeter"	path="contractAsig.bunDeteriorareFlg" />   
	 			</li>	
	 			<li>
	 					<label  for="pbunActiuni">Actiuni ilegale: </label> 
	 					<input type="checkbox" id="checkAct" 	value="1"  onclick="changeCheckAct();" /> 
	 					<form:hidden id="pbunActiuni"	path="contractAsig.bunActiuniFlg" />   
	 			</li>	
	 			<li>
	 					<label  for="pbunGeneral">Pachetul general deplin: </label> 
	 					<input type="checkbox" id="checkGen" 	value="1"  onclick="changeCheckGen();" /> 
	 					<form:hidden id="pbunGeneral"	path="contractAsig.bunGeneralFlg" />   
	 			</li>			
				</ul>
			</div>			